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Home My WebLink AboutE2022-0265 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ;i Permit Counter Phone (949)644-3288 L'1<iraYK�T Job Address: 960 GARDENIA WAY Bldg: 1 Floor: Suite: Description of Work: ELEC -DISCONNECT FOR A/C H2O22-0213 Inspector Area: 6 Legal Description: N TR 12245 LOT 16 Owner: CAMPBELL RAY F Contractor: Address: 960 GARDENIA WAY Address: CORONA DEL MAR CA 92625 Phone: Phone: Con State Lic: Issued Date:04/25/2022 Lic Expire: Bus Lic: Processed By: b Lic Exp Date: `E2022-0265` MCMASTER HEATING & AC INC 2 MCLAREN #C IRVINE CA 92618 949-481-7995 726607 12/31/2023 BT30041972 01/31/2023 Electrical Permit: E2022-0265 Project No : Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance Carrier: HARTFORD Policy No: 72WECZU8138 Expire : 02102/2023 FEES New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Residential Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.90 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 6 $0.00' i 1-2 Family: 0 $0.00 Sep Circuits: 1 $7.00 10 to 50 HP/KW/KVA: 0 $0.00 0 JO $0001 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 $6.00• Service Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $38.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 Supplemental Fee: $0.00 TOTAL Fee : $45.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $45.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday- Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govlcalaw.htmi. Signature of Pro,pr'y Owner or Authorized Agent Date LICENSED COPITRACTOR'S DECLARATION herelly affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and nsg Cl ' V� Contractor Sign � , Livens= Class License No Date /) '.NOf::. ERS' ccmrENSATION DECLARATION W"7r'IC C: FAILUF.= TO JECJRE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE .AST OF COMPENSAI iUN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I :lere�y affirm pnoar penalty of perjury one of the following declarations: l ' have and rill ¢eintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the nrrfor,nance of the wort, for which this permit is issued. Policy No. hay., and r.i1 ,T—imain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' c^r'-e carrirr and policy number are: Policy Number Expiration Date lane cf Agent __ Phone # I pe<rtLfy that, ih the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree tat, lif�l'should bbcgme subject to th orkers' Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prov' G 'signature of Applicant Dios. / a �l 1[s ,.� /2Z IECLARATION REGAR ING CONSTRUCTION LENDING AGENCY hereby affirm under pgAal6Kof perjury that there is a construction lending agency for the performance of the work for which this permit is issued ection 3097, Civil Code). Ender's Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. /� I authorize representatives of this city or count y{!d enter abo ntified property for inspection purposes. / y /-� Ite ,,cignature of Property Owner or Authorized Agent x Print Property Owner's or Authorized Agent's Nam@ A GIs l r^-Y/ /CJ22 ACTION DATE BY DECLARAPON OF COMPLIANCE AATN CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART bt OFTITLE40AND AQMD RULE 1403. PERMiTEXPIRED ❑ I SUBMITTED ASBESTOS NORFICATIONTO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT EXTENDED ASBESTOS IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL _S —Z2, ORS CERTIRCATEO'F OCCUPANCYISSUED SIGNATURE: